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5.8 A1c Level

Pre-diabetes

Pre-diabetes

Referring Physicians What is Pre-Diabetes? About 75 million Americans have Pre-Diabetes, so it is a very common clinical issue. Pre-Diabetes is defined as a fasting blood sugar between 100-125 or an A1c greater than 5.8 and less than 6.5. It’s when your blood glucose level is higher than normal (>100), but it’s not high enough to be considered diabetes (>125 on two occasions). There are other typical characteristics of pre-diabetes we call the Metabolic Syndrome; (1.) Obesity defined by a Body Mass Index (BMI) >30, a belt size in a woman >35 inches or in a man >40 inches. (2.) Hypertension or high blood pressure. (3.) Low HDL cholesterol (“Good Cholesterol”) < 40 in men and <50 in women. (4.) High triglycerides, >150. If you have three of these factors, you have the metabolic syndrome, as well. Pre-diabetes is an indication that you may develop type 2 diabetes if you don’t make some lifestyle changes. About 30 % of people with pre-diabetes go on to develop type 2 diabetes and we know that it is treatable. The good news is that it is possible to prevent pre-diabetes from developing into type 2 diabetes. Eating healthy food, losing weight, and being physically active can help you bring your blood glucose level back into the normal range. By this treatment, many people can prevent the development and complications of diabetes. Symptoms Diabetes develops very gradually, so when you’re in the pre-diabetes stage, you may have no symptoms at all. You may however notice symptoms of diabetes: • You are hungrier than normal • You are losing weight, despite eating more • You are thirstier than normal • You have to go to the bathroom more frequently • You are more tired than usual All of these are typical symptoms associated with diabetes, so if you are in the Continue reading >>

The Normal A1c Level

The Normal A1c Level

Wow Richard, 70 lbs? I have lost 24 lbs from low carb diet due to SIBO. It also helped my AC1 go down three points from 6.2 and my cholesterol is lower, which surprised me. I can’t afford to lose anymore weight because I was small to begin with. I had noticed much bigger people in the UK over the last 5 years compared to 15-20. Was quite shocking. I thought we had the patent on obesity! I am not diabetic that I know of but I had weird symptoms… Thirst that continued all day and night. My husband called me a camel. Dry eyes, rashes, strange dark discolouration on arm, under the arm to the side, some circulation issues and blurred vision. Eye specialist could not figure out why. Sores in the mouth also. I had observed about three weeks into super low carbs (30 Gms carb/day) that athlete’s foot symptom, sores in mouth and rashes were clearing up. So, lowering carbs for SIBO actually turned out for the best. By the way, I love your final paragraph. Research is what led me to SIBO diagnosis, and I then told the GI what to look for! He was barking up the wrong tree for months. Said I needed to eat more carbs so I don’t lose weight. Well, carbs fed the bacterial overgrowth!!! Dang fool. On Saturday, June 23, 2012, Diabetes Developments wrote: There is a new comment on the post “The Normal A1C Level”. Author: Richard Comment: I think part of the problem is that doctors are trained over many years to treat with pills, not with food. We continue to do what we are trained to do no matter what. I do believe they want to help us but don’t have the nutritional knowledge because that is not their expertise. When you have a hammer, etc. Nutritionist are no better unless they are those involved in research. They just peddle the messages they are told to. Then again, why wo Continue reading >>

A1c Level And Future Risk Of Diabetes: A Systematic Review

A1c Level And Future Risk Of Diabetes: A Systematic Review

The use of A1C for the identification of persons with undiagnosed diabetes has been investigated for a number of years (1–3). A1C better reflects long-term glycemic exposure than current diagnostic tests based on point-in-time measures of fasting and postload blood glucose (4,5) and has improved test-retest reliability (6). In addition, A1C includes no requirement for fasting or for the oral glucose tolerance test's 2-h wait. These advantages should lead to increased identification and more timely treatment of persons with diabetes. Recently, an American Diabetes Association (ADA)-organized international expert committee recommended the adoption of the A1C assay for the diagnosis of diabetes at a cut point of 6.5% (7). This cut point was primarily derived from a review of studies that examined the association of A1C values with incident retinopathy, and some of the most influential data were obtained from recently published prospective studies. Retinopathy was chosen as the ultimate criterion because it is among the main complications of diabetes. Identification of the point on the A1C distribution most closely related to future retinopathy will identify persons in the greatest need of interventions for the prevention of diabetes complications. In addition to utility and convenience, A1C could help identify persons at increased risk of developing diabetes. This is an important public health priority since a structured lifestyle program or the drug metformin can reduce the incidence of diabetes by at least 50 and 30%, respectively (8). Ideally, selection of diagnostic cut points for pre-diabetes would be based on evidence that intervention, when applied to the high-risk group of interest, results not only in the prevention of diabetes but also later complications. Howe Continue reading >>

Hemoglobin A1c Test (hba1c)

Hemoglobin A1c Test (hba1c)

Hemoglobin A1c, often abbreviated HbA1c, is a form of hemoglobin (a blood pigment that carries oxygen) that is bound to glucose. The blood test for HbA1c level is routinely performed in people with type 1 and type 2 diabetes mellitus. Blood HbA1c levels are reflective of how well diabetes is controlled. The normal range for level for hemoglobin A1c is less than 6%. HbA1c also is known as glycosylated, or glycated hemoglobin. HbA1c levels are reflective of blood glucose levels over the past six to eight weeks and do not reflect daily ups and downs of blood glucose. High HbA1c levels indicate poorer control of diabetes than levels in the normal range. HbA1c is typically measured to determine how well a type 1 or type 2 diabetes treatment plan (including medications, exercise, or dietary changes) is working. How Is Hemoglobin A1c Measured? The test for hemoglobin A1c depends on the chemical (electrical) charge on the molecule of HbA1c, which differs from the charges on the other components of hemoglobin. The molecule of HbA1c also differs in size from the other components. HbA1c may be separated by charge and size from the other hemoglobin A components in blood by a procedure called high pressure (or performance) liquid chromatography (HPLC). HPLC separates mixtures (for example, blood) into its various components by adding the mixtures to special liquids and passing them under pressure through columns filled with a material that separates the mixture into its different component molecules. HbA1c testing is done on a blood sample. Because HbA1c is not affected by short-term fluctuations in blood glucose concentrations, for example, due to meals, blood can be drawn for HbA1c testing without regard to when food was eaten. Fasting for the blood test is not necessary. What Are Continue reading >>

Diagnosis

Diagnosis

Print The American Diabetes Association (ADA) recommends that blood glucose screening for adults begin at age 45, or sooner if you are overweight and have additional risk factors for prediabetes or type 2 diabetes. There are several blood tests for prediabetes. Glycated hemoglobin (A1C) test This test indicates your average blood sugar level for the past two to three months. Specifically, the test measures the percentage of blood sugar attached to the oxygen-carrying protein in red blood cells (hemoglobin). The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. In general: An A1C level below 5.7 percent is considered normal An A1C level between 5.7 and 6.4 percent is considered prediabetes An A1C level of 6.5 percent or higher on two separate tests indicates type 2 diabetes Certain conditions can make the A1C test inaccurate — such as if you are pregnant or have an uncommon form of hemoglobin (hemoglobin variant). Fasting blood sugar test A blood sample is taken after you fast for at least eight hours or overnight. In general: A fasting blood sugar level below 100 milligrams per deciliter (mg/dL) — 5.6 millimoles per liter (mmol/L) — is considered normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 7.0 mmol/L) is considered prediabetes. This result is sometimes called impaired fasting glucose. A fasting blood sugar level of 126 mg/dL (7.0 mmol/L) or higher indicates type 2 diabetes. Oral glucose tolerance test This test is usually used to diagnose diabetes only during pregnancy. A blood sample is taken after you fast for at least eight hours or overnight. Then you'll drink a sugary solution, and your blood sugar level will be measured again after two hours. In general: A blood sugar level less than 140 mg/dL (7.8 mmo Continue reading >>

A1c And Pre Diabetes

A1c And Pre Diabetes

In my opinion, Evergrean, it's in the very early stage. I don't really believe in the concept of "pre"diabetes, because people are sometimes apt to use that as an excuse to ignore it. If you have elevated blood glucose (and your A1c converts to average blood glucose of about 107), then you have early signs of diabetes and would be well advised to take measures to prevent its advance. If you don't have a meter already, you might consider getting one and taking a few tests around your meals. That will give you a better idea of how your metabolism is coping with carbs. Take a test before you eat, so you know where you started (keep a log of your readings, and keep a food journal too - what/when/how much you ate). Eat your meal and test one hour after the first bite; this tells you roughly how high the meal raised your BG. Then test again two hours after the first bite, and you should be dropping back down close to your starting level. There is much good information and explanations at Blood Sugar 101 , I got my first A1C this week after getting several finger tip 12 hour fasting results that were at 109 for the past couple years. My A1C was 5.8. I am 47, male, slim and excercise alot. Please advise if my 5.8 level is pre diabetic and cause for concern? Hello there and welcome. You sound as though you are in a situation quite similar to mine at the beginning of last year - except I didn't know I had a problem. After meals I was dozy, couldn't concentrate and everything was too much bother. Then in August I collapsed into a Diabetic KetoAcidosis coma with a blood glucose of around 400 and an A1c of 8.2. I had a very hairy week. So, Shanny has beat me to it - her advice is spot on. Keep an eye on the meter, and grab the problem by the scruff of the neck. Cut out the sugar an Continue reading >>

Effect Of Aging On A1c Levels In Individuals Without Diabetes

Effect Of Aging On A1c Levels In Individuals Without Diabetes

Go to: Abstract OBJECTIVE—Although glycemic levels are known to rise with normal aging, the nondiabetic A1C range is not age specific. We examined whether A1C was associated with age in nondiabetic subjects and in subjects with normal glucose tolerance (NGT) in two population-based cohorts. RESEARCH DESIGN AND METHODS—We performed cross-sectional analyses of A1C across age categories in 2,473 nondiabetic participants of the Framingham Offspring Study (FOS) and in 3,270 nondiabetic participants from the National Health and Nutrition Examination Survey (NHANES) 2001–2004. In FOS, we examined A1C by age in a subset with NGT, i.e., after excluding those with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT). Multivariate analyses were performed, adjusting for sex, BMI, fasting glucose, and 2-h postload glucose values. RESULTS—In the FOS and NHANES cohorts, A1C levels were positively associated with age in nondiabetic subjects. Linear regression revealed 0.014- and 0.010-unit increases in A1C per year in the nondiabetic FOS and NHANES populations, respectively. The 97.5th percentiles for A1C were 6.0% and 5.6% for nondiabetic individuals aged <40 years in FOS and NHANES, respectively, compared with 6.6% and 6.2% for individuals aged ≥70 years (Ptrend < 0.001). The association of A1C with age was similar when restricted to the subset of FOS subjects with NGT and after adjustments for sex, BMI, fasting glucose, and 2-h postload glucose values. CONCLUSIONS—A1C levels are positively associated with age in nondiabetic populations even after exclusion of subjects with IFG and/or IGT. Further studies are needed to determine whether age-specific diagnostic and treatment criteria would be appropriate. Continue reading >>

Ultimate Guide To The A1c Test: Everything You Need To Know

Ultimate Guide To The A1c Test: Everything You Need To Know

The A1C is a blood test that gives us an estimated average of what your blood sugar has been over the past 2-3 months. The A1c goes by several different names, such aswa Hemoglobin A1C, HbA1C, Hb1C, A1C, glycated hemoglobin, glycohemoglobin and estimated glucose average. What is Hemoglobin? Hemoglobin is a protein in your blood cells that carries oxygen. When sugar is in the blood, and it hangs around for a while, it starts to attach to the red blood cells. The A1C test is a measurement of how many red blood cells have sugar attached. So, if your A1C result is 7%, that means that 7% of your red blood cells have sugar attached to them. What are the Symptoms of a High A1C Test Level? Sometimes there are NO symptoms! That is probably one of the scariest things about diabetes, your sugar can be high for a while and you may not even know it. When your blood sugar goes high and stays high for longer periods of time you may notice the following: tired, low energy, particularly after meals feel very thirsty you may be peeing more than normal, waking a lot in the middle of the night to go dry, itchy skin unexplained weight loss crave sugar, hungrier than normal blurred vision, may feel like you need new glasses tingling in feet or hands cuts or sores take a long time to heal or don’t heal well at all frequent infections (urinary tract, yeast infections, etc.) When your blood sugar is high, this means the energy that you are giving your body isn’t getting into the cells. Think about a car that has a gas leak. You put gas in, but if the gas can’t get to the engine, the car will not go. When you eat, some of the food is broken down into sugar and goes into your bloodstream. If your body can’t get the sugar to the cells, then your body can’t “go.” Some of the sugar tha Continue reading >>

5 Simple Ways To Lower Your A1c This Week

5 Simple Ways To Lower Your A1c This Week

The A1C blood test is a simple test that analyzes your glucose (blood sugar) levels by measuring the amount of glycated hemoglobin in your blood. Hemoglobin is a protein in your red blood cells; when glucose enters the blood, it attaches to the hemoglobin. The result is glycated hemoglobin. The more glucose in your blood, the higher your glycated hemoglobin. The A1C is a valuable indicator of how well your diabetes management plan is working. While your individual A1C goal will depend on factors including your age and your personal medical profile, most people with diabetes aim to keep their A1C below 7 percent. By keeping your A1C number within your target range, you can reduce the risk of diabetes complications. While it is important to develop a long-term diabetes management plan with your physician, there are several steps you can take right away to help reduce your A1C. Small changes add up, so consider trying some of these strategies to lower your A1C this week. 1. Try Short Sessions of High Intensity Exercise According to research presented at the American Heart Association's Scientific Sessions 2015, type 2 diabetes patients who did 10 minutes of exercise three times a day, five days a week at 85 percent of their target heart rate had a twofold improvement in A1C levels compared to patients who exercised for 30 minutes a day at 65 percent of their target heart rate. Be sure to check with your doctor before trying high intensity exercise, and wear a heart rate monitor so you don’t overdo it. 2. Shrink Your Dinner Plate Instead of a large dinner plate for your meals, use a smaller salad plate. This simple swap can trick your eyes and brain into thinking you’re eating more than you really are, and you’ll feel satisfied with less food. It’s especially helpfu Continue reading >>

Good News | A1c Was 13.2 And Is Now 5.8!

Good News | A1c Was 13.2 And Is Now 5.8!

Congrats on your progress and keep up the good work. It's a great feeling to feel better! Awesome report. I love the good news. We need the positive updates. I have not had my second blood test yet. My initial was 13.3. I will update you in December when I take my next one. My BS levels have been consistently between 80 and 130 except for a few days last week which I tribute to the high stress levels that work brought to the table. Thanks to the people on this site that let me know that stress influences my BS levels. I relaxed and decided not to let the small shit get to me. Wham Bam my BS levels dropped to the good levels again. You keep up the good work. So will I. :) Wonderful for you!! I have recently decided to get a hold of my diabetes and weight because I think it is holding me back from life in general! I have Type 1, Neuropathy ,and about 50 pounds to lose. One day at a time is all we can do!! <3 Much luck and love to all on your journey!!! Thats awesome Sherelle, I'm hoping to be like you in a couple months. I was just diagnosed with type 2 a couple weeks ago and my numbers were so high that my doc said i was close to being hospitalized. This was all a shock to me, i mean i know my diet was poor but i didn't think it would lead to diabetes. Well, i have to change my lifestyle now and I'm doing good so far and with the help of my Family and the good people on here i got my levels close to normal. Thanks for sharing your positive story, take care. Continue reading >>

Hemoglobin A1c Test (hba1c, A1c, Hb1c)

Hemoglobin A1c Test (hba1c, A1c, Hb1c)

Hemoglobin A1c definition and facts Hemoglobin A1c is a protein on the surface of red blood cells that sugar molecules stick to, usually for the life of the red blood cell (about three months). The higher the level of glucose in the blood, the higher the level of hemoglobin A1c is detectable on red blood cells. Hemoglobin A1c levels correlate with average levels of glucose in the blood over an approximately three-month time period. Normal ranges for hemoglobin A1c in people without diabetes is about 4% to 5.9%. People with diabetes with poor glucose control have hemoglobin A1c levels above 7%. Hemoglobin A1c levels are routinely used to determine blood sugar control over time in people with diabetes. Decreasing hemoglobin A1c levels by 1% may decrease the risk of microvascular complications (for example, diabetic eye, nerve, or kidney disease) by 10%. Hemoglobin A1c levels should be checked, according to the American Diabetic Association, every six months in individuals with stable blood sugar control, and every three months if the person is trying to establish stable blood sugar control. Hemoglobin A1c has many other names such as glycohemoglobin, glycated hemoglobin, glycosylated hemoglobin, and HbA1c. To explain what hemoglobin A1c is, think in simple terms. Sugar sticks to things, and when it has been stuck to something for a long time it's harder to the get sugar (glucose) off. In the body, sugar sticks too, particularly to proteins. The red blood cells that circulate in the body live for about three months before they die. When sugar (glucose) sticks to these red blood cells by binding to hemoglobin A1c, it gives us an idea of how much glucose has been around in the blood for the preceding three months. Hemoglobin A1c is a minor component of hemoglobin to which gl Continue reading >>

Your Most Important Blood Test

Your Most Important Blood Test

This week, the British Journal of Cancer published an incredibly important report that found a strong relationship between a simple blood test and the risk for various forms of cancer. The study found that the common blood test used by diabetics to measure their average blood sugar, A1c, was strongly predictive in terms of cancer development. For those of you who are not diabetic, you may not be familiar with this simple test that has profound health implications well beyond diabetes. Basically, the A1c test measures the amount of glycation that the protein hemoglobin has undergone. Glycation simply means that sugar has become bonded to a protein, in this case hemoglobin, and this is a relatively slow process. Hence, it’s a way to get a sense as to how high the blood sugar has been, in this case over a 3-4 month period of time, and this is why it’s so helpful for diabetics. But with this new report, we now understand that having elevated A1c translates to risk for cancer, and as I’ve explained in Grain Brain, it is also a powerful indicator of risk for developing dementia. If you look at the chart on page 117 of the book, reproduced below, you’ll note that A1c is also directly related to the rate at which the brain shrinks on an annual basis. Think of it, this one simple blood test can give you incredibly important information about cancer risk, risk for dementia, and even risk for shrinkage of your brain! Most commonly people are told that having an A1c of 5.6 – 5.8 should be considered normal, but when you look at the graph above, these levels already put you in the second highest category for brain shrinkage! I believe that, based on this information, we should strive to keep our A1c at 5.2 or even lower. The way to accomplish this is simply by reducing you Continue reading >>

Prediabetes - The Problem And How You Can Prevent It

Prediabetes - The Problem And How You Can Prevent It

Roughly one-third to one-half of adults currently have prediabetes, but does that statistic really matter? After all, these adults aren’t actually diabetic yet, so the health risk isn’t actually there, right? Wrong. UnityPoint Health Diabetes Steering Committee Chair, David Trachtenbarg, MD, talks about how to prevent diabetes, starting with prediabetes. What is Prediabetes? Prediabetes is a condition where blood sugar levels aren’t quite high enough to be classified as type 2 diabetes, but without change, will most likely develop into diabetes in as little as 10 years. “The large number of adults who already exhibit signs of prediabetes indicates that millions of people are at risk for developing a serious disease with many serious complications, diabetes,” Dr. Trachtenbarg says. This is the concern of health care providers across the country, so much so that some are labeling prediabetes as “an epidemic that’s out of control.” There’s good reason to take prediabetes seriously. Even before an adult is diagnosed with diabetes, prediabetes can start to have the same negative effects on the body. “Although much less common than with overt diabetes, if you have prediabetes, you are at increased risk for heart attacks and strokes, as well as kidney, nerve and eye problems. The best way to detect if someone has prediabetes is through a blood test,” Dr. Trachtenbarg says. Blood glucose, or blood sugar, is closely examined when determining a prediabetes diagnosis. For someone who is diabetic, a fasting blood glucose result would be 126 mg/dL (milligrams per deciliter) or higher. Prediabetes blood glucose results would fall in the 100-125 mg/dL range. A provider might also do another blood test, an A1C, which looks at hemoglobin levels. A1C results of 6.5 Continue reading >>

Why Hemoglobin A1c Is Not A Reliable Marker

Why Hemoglobin A1c Is Not A Reliable Marker

i was recently tested for Hemoglobin A1c because i presented to an endocrinologist with extremely low blood glucose on lab test and some scary symptoms, not the ordinary hypoglycemia symptoms. My A1c was 4.7 which registered as low (L) on the lab print out–it was only slightly low. Does a low score on this suggest a possibility of short-lived RBCs? Does it have any relationship with extremely low blood glucose? my result at the lab, fasting, was 32mg/dL. Not long after that i got a home glucometer and i get the same kind of results on that as the lab got, in the 20s and 30s first thing in the morning, every day. did not know i had hypoglycemia until i had that lab test, though i had had one episode where i woke up with ataxia, i fell while walking to the bathroom first thing in the morning, i got up and immediately fell again. I soon found that i had very impaired coordination. i did not know why and i was very worried. Eventually i wanted to have breakfast but had great difficulty holding the measuring cup under the faucet, to get some water to heat, to make instant oatmeal, i lacked the coordination to get the water into the cup. I persisted and did make the instant oatmeal (pour hot water onto flakes and it’s done), and i got my lap top and was eating the oatmeal and i suddenly was aware that the symptoms were going away. Previously i had been unable to type. While eating the small amount of oatmeal, i realized i could type. That was about a month before the lab test. Since it only happened that once, i put it out of my mind. About 5 days after the lab test, i had the second episode, worse than the first, i woke falling out of bed to the floor, couldn’t use my arm to break the fall, i didn’t have the coordination. i sat on the floor, i could not get up and wa Continue reading >>

A1c Down To 5.3 After 5.8 Last Year | Diabetic Connect

A1c Down To 5.3 After 5.8 Last Year | Diabetic Connect

True, 8.0 isn't where you want to stay, but it's not a bad place to be starting! Some of us have started in the 12 to 14 range. It does take information, will power, diet, exercise, patience, forgiving yourself when you botch it up, and starting over when you need to. We are all human. We blow sometimes. Just don't let yourself stay there too long. It's a battle I believe we can win. I started with a BG of 396 and bloody pus dripping from my toes when I was diagnosed 8 years ago. I worked full time all those years. I am now 60 pounds lighter, healthier, and medication free. I'm 67 years old, but not to old to take charge of my life and my health. I'm thinking that insulin would be the obvious next move. You may not want to hear that, but delaying that as long as possible is dangerous and out-dated thinking. Your long term health is most important and the longer you keep such high numbers, the worse you'll feel and the more damage is being done to your body. It may be scary, since you were recently diagnosed, but it becomes just another part of your life (that we all sometimes hate) and you learn as much as possible. I've known several who had the "no insulin" attitude, and in the long run, they couldn't believe how much better they felt once on it. Talk to your MD and good luck. A general practitioner may not be the best choice, we need specialists, who know enough about diabetes to be of help. Insulin is definitely out of the question, due to the fact that my body cannot tolerate any form of synthetic type of insulin. Animal form or otherwise. If or when you need insulin, instead of oral types, I hope your insurance or provider can get you what you need. Mine is novalog, which is, of course, sythetic, but its the version that most closely resembles how your body would Continue reading >>

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